Health inspection·August 11, 2023

F 0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and facility policy review the facility failed to reimburse Resident #70 's funds to her family within 30 days of her death. This affected one resident (#70) out of three residents reviewed for resident funds. The facility census was 66. Residents Affected - Few Findings include: Review of the medical record revealed Resident #70 was admitted into the memory care unit at the facility on [DATE] with diagnoses including unspecified dementia, right arm fracture, weakness, depression, and high blood pressure. Resident #70 expired at the facility on [DATE]. Review of Resident #70's invoice for services and room and board dated [DATE] revealed balance due of $2,400.00. Review of Resident #70's credit card statement from Capital One dated [DATE] revealed a credit card payment made to the facility dated [DATE] for $2,400.00. Review of Resident #70 accounts receivable adjustment request dated [DATE] revealed the facility requested a pro-rated patient liability adjustment due to Resident #70 expiring on [DATE]. The requested amount to be reimbursed to Resident #70 totaled $2,246.00. Interview on [DATE] at 9:04 A.M. with Resident #70's son revealed he understood the facility had done everything they could do to assist in the reimbursement of Resident #70's account. Interview on [DATE] at 10:30 A.M. with the Administrator revealed Resident #70's son had been calling the facility inquiring about the reimbursement for Resident #70's [DATE] invoice. The Administrator stated, We have done everything we can on the facility level to address this reimbursement for Resident #70's family. We have emailed and called the cooperate offices to follow up with this situation. Interview on [DATE] at 12:10 P.M. with facility Business Office Manager (BOM) #1 revealed the facility had been communicating with the cooperate financial operations department monthly since Resident #70 had expired on [DATE]. Review of facility email dated [DATE] revealed, the facility BOM on behalf of Resident #70's son had inquired about the disposition of the reimbursement requested on [DATE]. Further review revealed the returned email from the cooperate [NAME] President of Financial Operations stated, Thank you, Page 1 of 2 366285 366285 08/11/2023 Continuing Healthcare of Shadyside 60583 State Route 7 Shadyside, OH 43947

F 0569 this will go out next week. Level of Harm - Minimal harm or potential for actual harm Review of the facility policy titled Managing Resident Personal Funds, dated 01/2021, revealed In the event of discharge to home or death, the final report and a check should be prepared as soon as possible. Residents Affected - Few This deficiency represents non-compliance investigated under Master Complaint Number OH00145245. 366285 Page 2 of 2